workbook questions Flashcards
1
Q
what shows a pneumpthorax in the right lung?
A
left lateral
2
Q
what shoes a hemothorax in the right lung
A
right lateral
3
Q
What is the patient position and degree of obliquity to achieve a good view of the sternum?
A
PA, RAO 15 degrees
4
Q
What is the SID for the lateral sternum?
A
180 cm
5
Q
what is 2
A
diaphragmic plane
6
Q
what is 3
A
intertubercular plane or transpyloric plane
7
Q
what is 4
A
transtrochanteric plane
8
Q
what is 5
A
vertical plane
9
Q
what is the vertical plane (ABD)
A
Divides body on each side midway between ASIS and symphysis pubis
10
Q
what is the diaphragmic plane (ABD)
A
Level of xiphoid process – is the superior border of the abdominal cavity
11
Q
what is the transpyloric plane (ABD)
A
Level of first or second lumbar vertebra – midway between supra-sternal notch and symphysis pubis
12
Q
what is the intertubercular plane (ABD)
A
Level of fifth lumbar vertebra midway between transpyloric plane and symphysis pubis
13
Q
what is the transtrochanteric plane (ABD)
A
Level of symphysis pubis at level joining the superior portions of the superior portions of the greater trochanter
14
Q
what is a
A
right hypochndriac
15
Q
what is b
A
epigastric
16
Q
what is c
A
left hypochiondriac
17
Q
what is d
A
right lumbar
18
Q
what is e
A
umbilical
19
Q
what is f
A
left lkumbar
20
Q
what is g
A
right iliac
21
Q
what is h
A
hypogastric
22
Q
what is i
A
left illiac
23
Q
what is 1
A
atlanto-occipital joint
24
Q
what is 2
A
atlanto-axial joint
25
what is 3
lateral mass of the atlas
26
what is 4
transverse process of the atlas
27
what is 5
body of the axis
28
what is 6
odontoid process of the axis (dens)
29
what is 7
spinous process of the axis
30
what is 8
occipital bone
31
what is 9
mandible
32
what is 10
lower incisor
33
what is 11
inferior articular facet
34
what is best demonstrated in this image?
the atlas and axis
35
how can you achieve uniform density on an AP T spine
use a filter
36
what is best demonstrated with a lateral c spine
disc spaces and intervertebral foramina
37
what is best demonstrated with a lateral swimmers
C7 T 1 joint space
38
what is best demonstrated with a AP T spine
vertebral bodies and transverse processes
intervertebral disc spaces
39
List at least 3 measures that can be taken to provide radiation protection during a scoliosis series
use PA projections
use shielding
do not clip anatomy
use high kVp and low mAs
40
What is the recommended posture and respiration for ribs 8 – 12?
recumbent (supine)
expiration
41
Why is the sternum a difficult piece of anatomy to image?
lots of structures superimposed
thin and curved anatomy
breathing can skew
41
(T/F) In the PA Oblique projection of the sternoclavicular joints, the side closest to the tabletop is demonstrated
true
42
(T/F) To properly demonstrate the SC Joint, the obliquity of the body should be a minimum of 45°.
false -only 10-15 deg
43
(T/F) Oblique projections of the thorax are useful to demonstrate fractures in the axillary portion of the rib cage
true
44
(T/F) The left axillary ribs are demonstrated in the RAO position
false -LAO or RPO
45
What would the instruction for respiration be for the following and why?
Lateral sternum
deep inspiration
46
What would the instruction for respiration be for the following and why?
SC joints
suspend respiration
no movement
47
What would the instruction for respiration be for the following and why?
lower ribs
expiration
remove superimposition of the diaphragm
48
What would the instruction for respiration be for the following and why?
PA oblique sternum
shallow breathing
to blur the lungs
49
How many posterior ribs should be visualized on a PA chest radiograph on the left side above the hemidiaphragm to assess
a good inspiration?
10
50
To demonstrate fluid in the left lung, how will the patient be positioned?
left lateral decubitus
51
If a patient is supine and a horizontal beam is used to demonstrate the c-spine, what is the projection?
What is the Position?
left XTL lateral c spine
supine
52
When would inspiration and expiration images be requested of the chest?
small pneumothorax
foreign body aspiration
airway obstruction
diaphragm movement assesments
53
What view will best demonstrate an apical lung lesion?
lordotic view
maximum view of apices by projecting the clavicles out of the way
54
What is the landmark to check for to ensure that the apices are included on any chest imaging
C7 vertebra prominens
55
What is the level of the diaphragm anteriorly
T10 -xiphoid process
56
What anatomy needs to be included on the following views and how do you check that it will be on the image?
supine abdomen
bladder
include pubic symphysis
4" under ASIS, @ troch
57
What anatomy needs to be included on the following views and how do you check that it will be on the image?
erect abdomen
diaphragm
include just above T10
58
What anatomy needs to be included on the following views and how do you check that it will be on the image?
decubitus abdomen
bladder
include pubic symphysis
59
What are the 3 views of an Acute Abdomen series
PA chest
AP erect abd OR decub abd
AP supine
60
What is a KUB
kidneys, ureters, bladder
urinary study
61
An abnormal lateral curvature of the spine is called?
scoliosis
62
List the 5 routine views of the C-spine
AP
lateral
odontoid
AP and P obliques
63
List the 3 routine views of the T-spine
AP
lateral
swimmers
64
List the views in a typical scoliosis series
AP/PA upright
AP/PA supine/prone
AP/PA w lateral bending
lateral upright
65
What will the following demonstrate during a scoliosis series?
erect PA
assess Cobb angle with gravity
66
What will the following demonstrate during a scoliosis series?
lateral
degree of kyphosis/lordosis
67
What will the following demonstrate during a scoliosis series?
bending views
show the primary versus secondary curves
assess mobility
68
What will the following demonstrate during a scoliosis series?
recumbent or supine views
asses structural versus non structural views
69
Which projection is taken first when there is a possibility of a cervical spine fracture or dislocation
lateral and swimmers
70
What is best demonstrated in the open mouth C-spine view
C1 and C2
71
What is best demonstrated in the Fuchs Method?
C1 and C2
72
If the base of the skull is projected over the odontoid process and is inferior to the bottom of the top teeth in the open mouth view, how
would the radiographer reposition for the repeat?
tilt chin down slightly
73
What is the CR direction and centering point for the AP Axial projection of C3-7?
15 ceph supine
20 ceph erect
74
How does the AP Axial C-spine differ from the AP soft tissue neck?
C spine uses an angle
shows different anatomy
75
What line is perpendicular to the IR for the Fuchs Method?
MML
76
How does the recumbent Swimmers view differ from the erect version
recumbent may use 3-5 degree caudad
77
What should the radiographer do if C7-T1 is not demonstrated in the erect lateral C-spine image?
do a swimmers view
78
How can you determine that your patient’s neck has been extended enough for a hyperextension lateral c-spine?
jaw should be almost vertical
79
How can you determine that your patient’s neck has been flexed enough for a hyperflexion lateral c-spine?
jaw should be almost vertical
80
The CP for an AP projection of the T Spine is at the level of?
81
Name 2 positioning considerations for a lateral view of the T Spine:
82
To best demonstrate the zygapophyseal joints in the c-spine, the patient is positioned in the oblique axial posture. TRUE OR FALSE
83
The CR is directed at an angle of 15 ̊ caudad for the AP Axial projection of the lumbosacral joint on a female patient. TRUE OR FALSE
84
When performing lateral imaging of the spine, the knees should be perfectly superimposed to prevent rotation. TRUE OR FALSE
85
Seeing the pedicle in the middle of the vertebral body on an oblique lumbar spine image indicates that the zygapophyseal joints are well
demonstrated. TRUE OR FALSE
86
The “eye” of the Scotty dog is the pedicle on the side closer to the IR if the patient is in an LPO position. TRUE OR FALSE
87
Why is it important to have the lumbar curve flattened for the AP projection of the L Spine
88
How can you tell from an oblique lumbar spine image if the patient is over or under rotated?
89
Which zygapophyseal joints are best demonstrated when the patient is in an RPO position of the lumbar spine?
90
Why would a PA Axial projection be preferred when imaging the SI joints bilaterally?
91
Is the CP on the dependent or elevated side for imaging of oblique SI joints?
92
What is the CP direction and angle for the AP Sacrum and AP Coccyx
93
What technique can improve visualization of the lateral sacrum/coccyx?
